We carried out a review of the data available to us about Knights Home Care Services Ltd on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Knights Home Care Services Ltd, you can give feedback on this service.
Knights Home Care Services Ltd is a service providing personal care to people living in their own homes. It provides long term, short term, and 24-hour care to people within the community. At the time of our inspection, the service supported 13 people.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
People’s experience of using this service and what we found
People were protected from the risk of abuse, harm and neglect. Staff received training in how to keep people safe and knew how to report their concerns.
People and relatives we spoke with told us they were supported by a small and consistent team of staff who were knew them well. Staff arrived on time and stayed the required amount of time.
Processes were in place to support people with their medicines if required. Infection control measures were in place including staff use of personal protective equipment (PPE). People's needs were assessed before the package of care commenced. Staff received an induction and training for their roles.
People told us the service was well led and they received person centred care. Staff and relatives we spoke with supported this and told us management were open and approachable. Management and staff were clear about their roles, responsibilities and continuously looked for ways to develop and improve the service and the level of care provided.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 13 February 2018).
Why we inspected
This inspection was prompted by a review of the information we held about this service and due to the length of time since the previous inspection.
We undertook a focused inspection to review the key questions of safe and well-led only. For those key question not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Knights Home Care Services Ltd on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
We inspected this service on 21 November 2017. At our last inspection on 2 November 2015 we found the provider was meeting the regulations and we rated the care agency Good. Since our last inspection the service has changed provider, however was still trading under the same name and provides the same service. At this inspection we continued to rate the service as Good.
Knights is a domiciliary care agency. It provides personal care to people living in their own houses and flats. It provides a service to older adults living in the North Lincolnshire and North Nottingham area. At the time of our inspection 26 people were receiving support. The service provides other support that is not regulated by us including support in the community.
The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People felt safe when they received care and staff understood the importance of reporting any concerns. Risk assessments had been completed to ensure people were protected from risks and equipment and guidance was provided to ensure people were supported in line with their assessed needs. When people required support with their medicine, this was completed safely.
Care plans were available in people’s homes and any changes had been updated. Any changes had been communicated to the staff and checks had been completed to ensure they received the information before providing care.
There was a system in place to ensure there were sufficient staff to meet people needs. This was reviewed before any new care package was accepted. There were effective pre-employment checks of staff in place and effective supervision to support staff in their role. Staff confirmed they were well supported in their role. The registered manager felt supported by the provider and they had been involved in a range of ways to expand their knowledge. We found staff were trained in a range of areas to enable them to support people’s needs.
People who used the service and relatives had confidence in the staff and felt the service made a real difference to them remaining independent and within their own homes. This including staff respecting people’s dignity and privacy. We saw that staff obtained people’s consent before they supported them and gave them choices in their daily life to enable them to remain as independent as they wished.
People’s views had been obtained and used to develop improvements within the service. There had been no complaints; however people felt able to raise any concern’s and felt confident they would be addressed.
We saw the registered manager carried out a range of audits to identify areas for improvement to maintain the quality of the service. Developments had been made to consider how to expand the service and use technology to support the service on offer.
The registered manager had worked in partnership with different agencies and the other locations owned by the provider. They understood their registration with us and had displayed their rating in accordance with our guidance.
This inspection took place on 2 November 2015. Knights Home Care Services Ltd is a small domiciliary care service which provides personal care and support to people in their own homes. On the day of our inspection twenty people were receiving personal care from the agency.
The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. On the day of our inspection the registered manager assisted us with the inspection process.
Staff had received training to ensure they had the knowledge to care for people in a safe manner and were protected whilst receiving care. Staff also understood their responsibilities in protecting people from abuse.
People received support to safely manage their medicines. They also received the support to maintain a good food and fluid intake. Systems were in place to identify risks to people’s health and staff were proactive in reporting any health related issues to external health care professionals.
The Care Quality Commission (CQC) monitors the use of the Mental Capacity Act 2005 (MCA).
We found the registered provider was aware of this legislation and ensured it would be used correctly to protect people who were not able to make their own decisions about the care they received.
People were treated with kindness and respect and their dignity was promoted. People were encouraged to be involved in the planning and reviewing of their care package to ensure their needs were met. Staff helped people to access the community when requested.
People could make comments on the quality of the service and there were effective systems in place to monitor the quality of the service.
The culture within the agency was open and the registered manager encouraged effective communication with their staff and people who used the service. People felt able to make a complaint and felt any complaints would be taken seriously.